VBS Registration

Please complete this form for each child that you are registering.

VBS Registration 2017

  • Medical Information & Release (Valid June 26-29, 2017)

  • Child Insurance Information

    Our church insurance is only secondary insurance. If you have insurance, your carrier will be billed for medical charges in the case of illness or injury while at VBS.
  • Medical Release

    In the event that I cannot be reached in an emergency during the dates specified on this form, I hereby give my permission to the physician or dentist selected by a Skyline Baptist Church representative to hospitalize, to secure proper treatment, and/or order an injection, anesthesia or surgery for my son or daughter as deemed necessary.
  • Liability Release

    By signing this form, the parent/guardian agrees to assume and accept all risks and hazards inherent in VBS and agree not to hold Skyline Baptist Church, or any of their members, staff or volunteers liable for damages, losses or injuries to the person or property under-signed. The Parents/guardians understand that they are signing for the minor listed on this form and the signature is both for medical and liability release. In addition, the parent or guardian hereby authorizes Skyline to use, reproduce, distribute, and display their child’s image, and photograph, as well as any video, digital, or audio recording or reproduction, in connection with external and internal communications of the church.
  • By typing in your full name you are "signing" your consent to the Medical and Liability releases and giving your child permission to participate in Vacation Bible School at Skyline Baptist Church.